CLINIC652 LLC
NPI 1508518002
Internal Medicine in Gadsden, AL

NPI Status: Active since January 25, 2022

Contact Information

2600 E MEIGHAN BLVD
GADSDEN, AL
ZIP 35903
Phone: (256) 418-4005
Fax: (256) 399-0102

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  • Organization
  • Internal Medicine
  • CLIA Number: 01D2254221
  • CLIA Cert. Type: Other - SPECIALTY CLINIC-SEXUAL H
  • CLIA Exp. Date: 02-28-2026

About CLINIC652 LLC

This page provides the complete NPI Profile along with additional information for Clinic652 Llc, an internist established in Gadsden, Alabama operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1508518002 assigned on January 2022. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Warren Alexander O'meara-dates (Member/chief Executive Officer)

NPI
1508518002
Provider Name
CLINIC652 LLC
Entity Type
Organization
Location Address
2600 E MEIGHAN BLVD GADSDEN, AL 35903
Location Phone
(256) 418-4005
Location Fax
(256) 399-0102
Mailing Address
417 TAYLOR ST GADSDEN, AL 35903
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2022
Last Update Date
01-25-2022
Code Navigator

An internist like Clinic652 Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WARREN ALEXANDER O'MEARA-DATES

Authorized Official Title
MEMBER/CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(256) 418-4005

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2254221
Facility Type
Other - SPECIALTY CLINIC-SEXUAL H
Certificate Effective Date
March 01, 2024
Certificate Expiration Date
February 28, 2026
Laboratory Director
WARREN A. O MEARA-DATES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clinic652 Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508518002, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 0 + 1 + 1 + 6 + 0 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1508518002.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508518002, enumerated as an "organization" on January 25, 2022.

The provider is located at 2600 E MEIGHAN BLVD GADSDEN, AL 35903 and the phone number is (256) 418-4005.

Internal Medicine with taxonomy code 207R00000X.